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NPRA-WV Membership Form

To join NPRA-WV, please provide the following information.

 

NPRA-WV is dedicated to elevating the peer workforce through our mentorship program. The following questions help us better understand how we can best support you as a peer professional. Someone will be in touch with you shortly!

Birthday
Do you identify as a person with a disability or are you a person with accessibility needs?
Which racial/ethnic groups best describe you? *Select all that apply.
What is the highest level of education you have completed? *Select one.
Have you previously or are you currently a union member? *Note - We only ask this question because we partner with the St. Louis labor unions often as substance use and mental health is prevalent in this community.
I would like a NPRA mentor to help me in the following areas? *Select all that apply. *We ask this question because NPRA-MO mentors can connect you in each of these areas to support your personal needs in addition to your professional needs.
I would like more experience/resources in the following areas. *Select all that apply.
Are you a Certified Peer Specialist through the Missouri Credentialing Board?
Do you have a National Peer Certification? (NAADAC, IC/RC, etc.)
I am interested in the following additional certifications through the Missouri Credentialing Board. *Select all that apply.
Are you interested in higher education? (2 or 4 year college, etc.)
Are you looking for CEU opportunities?
I would like additional training in the following areas. *Select all that apply.
Do you have a headshot photo?
Do you have a professional resume?
How do you feel about interviewing for jobs?
Would you like to be connected to a NPRA-MO mentor?
Are you interested in participating in future speaking engagements with NPRA?
Are you willing to commit to bimonthly NPRA-MO meetings? These meetings will be in the evening during the week.
Are you willing to participate in our "pass the basket" policy (a monetary contribution to support NPRA-MO)?
Are you interested in being a mentor (offering personal and professional accountability) to up and coming peers?
Would you mind if we shared your name and contact information (phone number and email) with NPRA-MO membership? *Note - This is so membership can communicate with one another.
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